How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $5,370.32 | Professional | None | $2,754.23 | $3,630.78 | $5,370.32 |
CareFirst Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $2,290.87 | Professional | None | $912.01 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $12,302.69 | Professional | None | $4,265.80 | $4,265.80 | $12,302.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $6,025.60 Typical High $7,943.28 | Professional | None | $5,011.87 | $6,025.60 | $7,943.28 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $10,232.93 Typical High $34,673.69 | Facility | None | $2,290.87 | $10,232.93 | $34,673.69 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $4,897.79 | Professional | None | $1,348.96 | $2,290.87 | $4,897.79 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,819.70 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,380.38 | $1,819.70 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $724.44 Typical High $1,071.52 | Professional | 53 · Discontinued | $549.54 | $724.44 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $537.03 Typical High $812.83 | Professional | 55 · Aftercare only | $407.38 | $537.03 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $363.08 Typical High $537.03 | Professional | 56 · Pre-op care only | $275.42 | $363.08 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,511.89 Typical High $3,801.89 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,511.89 | $3,801.89 |
Where Washington, DC sits
The same service costs 21.4 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington, DC· 40th of 51
$2,455
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.